Individual
DR. DANA PHILLIP RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 METROCENTRE BLVD, SUITE 7, WEST PALM BEACH, FL 33407-3107
(561) 434-5678
(561) 964-9829
Mailing address
309 E OCEAN AVE APT 103, LANTANA, FL 33462-3265
(561) 434-5678
(786) 221-4352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80230
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/29/2005
Last updated
09/26/2018
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